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|Title:||"When nothing happens, nobody is afraid!" beliefs and perceptions around self-care and health-seeking behaviours : voices of patients living with diabetic lower extremity amputation in primary care||Authors:||Zhu, Xiaoli
Chew, Evelyn A. L.
Goh, Ling Jia
|Keywords:||Science::Medicine||Issue Date:||2021||Source:||Zhu, X., Lee, M., Chew, E. A. L., Goh, L. J., Dong, L. & Bartlam, B. (2021). "When nothing happens, nobody is afraid!" beliefs and perceptions around self-care and health-seeking behaviours : voices of patients living with diabetic lower extremity amputation in primary care. International Wound Journal, 18(6), 850-861. https://dx.doi.org/10.1111/iwj.13587||Journal:||International Wound Journal||Abstract:||Self-management and self-care are the cornerstone of diabetes care and an essential part of successfully preventing or delaying diabetes complications. Yet, despite being armed with the required information and guidance for self-management, self-care and adherence to foot self-care recommendations and compliance to medication among patients with diabetic foot ulcer and diabetic lower extremity amputations remain low and suboptimal. This study reveals in-depth account of nine such patients' beliefs and perceptions around their illness, their self-care, and their health-seeking behaviours. Patients living with diabetic lower extremity amputation displayed profound lack of knowledge of self-care of diabetes and foot and passive health-related behaviours. The overarching sense that "when nothing happens, nobody is afraid," points to a lack of motivation in taking charge of one's own health, whether this is with reference to treatment or care adherence, following recommended self-care advice, or seeking timely treatment. The Health Beliefs Model provides the theoretical framework for probing into the factors for the participants' suboptimal self-care and passive health-seeking behaviours. Two themes emerged from data analysis: profound knowledge deficit and passive health-related behaviours. The beliefs and perceptions around self-care and health-seeking behaviours for patients with lower extremity amputation are interpreted as the "ignorant self" with passive health-seeking behaviours. Patients with diabetes and diabetic foot diseases may benefit from personalized education, motivational interviewing, and family support.||URI:||https://hdl.handle.net/10356/149057||ISSN:||1742-4801||DOI:||10.1111/iwj.13587||Schools:||Lee Kong Chian School of Medicine (LKCMedicine)||Departments:||Family Medicine and Primary Care||Rights:||© 2021 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.||Fulltext Permission:||open||Fulltext Availability:||With Fulltext|
|Appears in Collections:||LKCMedicine Journal Articles|
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